Meisha Harris

Individual provider Active NPI Athletic Trainer · Manakin Sabot, VA

NPI 1831559210 · NPPES record last updated Feb 29, 2016

Key facts

NPI
1831559210
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
0126002374 (VA)
Practice address
763 Oak Spring LN
Manakin Sabot, VA 23103-3343
Phone
(804) 239-5236
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0126002374VAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126002374 VA Yes

Addresses

Primary practice location

763 Oak Spring LN
Manakin Sabot, VA 23103-3343

Mailing address

763 Oak Spring LN
Manakin Sabot, VA 23103-3343
Phone (804) 239-5236

Other providers in Manakin Sabot, VA

All providers in Manakin Sabot, VA · Athletic Trainer in Virginia

Sources for this page

Verify at the official NPI Registry.